Melissa Colvert

Created the commercial and government insurance billing department from the ground up.

Created, planned, organized, directed and coordinated the revenue cycle operations, including front-end functions, claims generation, statement submissions and A/R follow-up.

Managed the hiring, training, evaluation and day-to-day direction of staff.

Reviewed Key Performance Indicators on a daily basis.

Managed the entire revenue cycle including, billing, coding, collections, and denials.

Provided up-to-date education for clinical, billing, and coding staff on industry trends.

Provided forecast of projected collections of government and commercial insurances.

Managed relationships with external vendors for practice management software.

Managed, developed, and mentored all revenue department staff including billers, coders, scheduling, medical records, benefits, and authorization.

Completed the credentialing and provider enrollment applications, initial and re-enrollment status, with Medicaid and commercial payors.

Developed and implemented revenue cycle policies and procedures to ensure compliance with federal and state guidelines.

Involved in contract negotiations with health plans.

Committed to the highest level of business and patient confidentiality possible adhering to all HIPAA security guidelines when accessing and sharing patient information.

Responsible for Medical Billing Review (all billing, coding, and reimbursement audits/reasonable value/reasonable expenses).

This position was impacted by COVID-19 leading to a lay-off my area.

Followed up on adjudicated claims, submission of claims.

Submitted and followed-up on payer specific appeals.

Resolved patient and clinic billing inquires.

In April, 2019, Natera outsourced the entire Revenue Cycle Department overseas. Everyone employed in that area was dismissed.

Streamlined collection processes for increased efficiency through the implementation of new software systems.

Reduced aged receivables with diligent follow-up on outstanding insurance claims.

Negotiated favorable payment terms, resulting in prompt settlements of overdue accounts.

Provided excellent customer service by addressing inquiries from both clients and insurance providers in a timely manner.

Left this position to move to Austin, TX to be closer to family.

Managed 20 employees in the insurance and billing department for the Practice as well as their stand-alone ambulatory surgical center.

Maintained the professional licenses and credentialing for four doctors and the ASC.

Negotiated all insurance contracts.

Played a critical role in obtaining Joint Commission status and subsequent compliance/audits.

Created a policies and procedures manual for the entire Practice, as well as, implemented OSHA and HIPPA guidelines.

Responsible for hiring and terminating employees and handling al HR issues.

I left this position as I had the opportunity to stay at home and raise my children.